Negative Symptoms, Cognition, and Recovery in Schizophrenia
摘要
Two parallel visions of recovery may be found in literature, one adhered to by clinicians, usually defined as “clinical recovery,” the other based on the personal, subjective experience of people living with schizophrenia, usually defined as “personal recovery” or “subjective recovery.” Both are considered as relevant targets of treatment in schizophrenia and related disorders. The present chapter reviews how much both negative and cognitive symptoms may affect clinical recovery, through their influence on both sustained remission and personal/social functioning, the two main dimensions of clinical recovery. Personal recovery mostly refers to subjective experiences of optimism, empowerment, interpersonal support, peer support, and stigma reduction. Although symptom remission and functioning are not considered necessary prerequisites of personal recovery, several studies seem to show some contribution of clinical dimensions, with particular reference to negative symptoms and social cognition.